Bone Mineral Density among Individuals with Residual Lower Limb Weakness after Polio
Literature indicates that individuals with long-term residual lower extremity (LE) weakness after polio have decreased bone mineral density (BMD) deficiencies related to muscle weakness. Where weakness is asymmetrical, bone densitometry (BDt) measured only on the stronger LE may misclassify BMD. (Source: PM and R)
Source: PM and R - September 6, 2018 Category: Rehabilitation Authors: Beth Grill, Pamela Levangie, Maria Cole, Darren Rosenberg, Leah Jensen Source Type: research

Ankle joint and rearfoot biomechanics during toe-in and toe-out walking in people with medial compartment knee osteoarthritis
Toe-in and toe-out walking are two strategies which have been shown to be effective in reducing the knee adduction moment in people with knee osteoarthritis. However, despite a positive biomechanical impact on the knee, altering foot rotation may impart unintended forces or joint positions on the ankle that could impact joint health. The kinematic and kinetic changes at the ankle during toe-in or toe-out walking have yet to be examined. (Source: PM and R)
Source: PM and R - September 6, 2018 Category: Rehabilitation Authors: Jesse M. Charlton, Gillian L. Hatfield, Jordan A. Guenette, Michael A. Hunt Source Type: research

Is Technology for Orthostatic Hypotension Ready for Primetime?
Spinal cord injury (SCI) often results in the devastating loss of motor, sensory, and autonomic function. After SCI, the interruption of descending sympathoexcitatory pathways disrupts supraspinal control of blood pressure (BP). A common clinical consequence of cardiovascular dysfunction after SCI is orthostatic hypotension (OH), a debilitating condition characterized by rapid profound decreases in BP when assuming an upright posture. OH can result in a diverse array of insidious and pernicious health consequences. (Source: PM and R)
Source: PM and R - September 1, 2018 Category: Rehabilitation Authors: Zoe K. Sarafis, Aaron K. Monga, Aaron A. Phillips, Andrei V. Krassioukov Tags: Innovations Influencing Physical Medicine and Rehabilitation Source Type: research

Transcranial Direct Current Stimulation for Poststroke Motor Recovery: Challenges and Opportunities
There has been a renewed research interest in transcranial direct current stimulation (tDCS) as an adjunctive tool for poststroke motor recovery as it has a neuro-modulatory effect on the human cortex. However, there are barriers towards its successful application in motor recovery as several scientific issues remain unresolved, including device-related issues (ie, dose-response relationship, safety and tolerability concerns, interhemispheric imbalance model, and choice of montage) and clinical trial-related issues (ie, patient selection, timing of study, and choice of outcomes). (Source: PM and R)
Source: PM and R - September 1, 2018 Category: Rehabilitation Authors: Wuwei Feng, Steven A. Kautz, Gottfried Schlaug, Caitlyn Meinzer, Mark S. George, Pratik Y. Chhatbar Tags: Innovations Influencing Physical Medicine and Rehabilitation Source Type: research

Ethical Issues Surrounding a New Generation of Neuroprostheses for Patients With Spinal Cord Injuries
Traumatic spinal cord injury (SCI) is a significant life event, one that often defines a fixed time point: life before SCI and life after it. However, the rise of new neuroprostheses may introduce a new point to this timeline, one that could be as precise as the injury itself: the restoration of volitional movement and perhaps even sensation. Neuroprostheses offer possibilities that may forever change physical and psychological experiences after SCI. Yet it is important to balance excitement about these possibilities with consideration of the ethical dimensions of the study and use of these technologies. (Source: PM and R)
Source: PM and R - September 1, 2018 Category: Rehabilitation Authors: Ryan Solinsky, Laura Specker Sullivan Tags: Innovations Influencing Physical Medicine and Rehabilitation Source Type: research

Adaptation, Artificial Intelligence, and Physical Medicine and Rehabilitation
Adaptation, cooperation, and trust are at the center of rehabilitation. Artificial intelligence and robots enhance adaptation with guidance for movement, cues for sensation, control of environment, and improved situational awareness. That said, how do we decide to trust complex technologies that might seek personal information or control dangerous equipment? (Source: PM and R)
Source: PM and R - September 1, 2018 Category: Rehabilitation Authors: Daniel T. Barry Tags: Innovations Influencing Physical Medicine and Rehabilitation Source Type: research

Brain Computer Interfaces in Rehabilitation Medicine
One innovation currently influencing physical medicine and rehabilitation is brain –computer interface (BCI) technology. BCI systems used for motor control record neural activity associated with thoughts, perceptions, and motor intent; decode brain signals into commands for output devices; and perform the user’s intended action through an output device. BCI systems used for se nsory augmentation transduce environmental stimuli into neural signals interpretable by the central nervous system. Both types of systems have potential for reducing disability by facilitating a user’s interaction with the environme...
Source: PM and R - September 1, 2018 Category: Rehabilitation Authors: Marcia A. Bockbrader, Gerard Francisco, Ray Lee, Jared Olson, Ryan Solinsky, Michael L. Boninger Tags: Innovations Influencing Physical Medicine and Rehabilitation Source Type: research

Exoskeleton and End-Effector Robots for Upper and Lower Limbs Rehabilitation: Narrative Review
Recovery of upper and lower limbs function is essential to reach independence in daily activities in patients with upper motor neuron  syndrome (UMNS). Rehabilitation can provide a guide for motor recovery influencing the neurobiology of neuronal plasticity providing controlled, repetitive, and variable patterns. Increasing therapy dosage, intensity, number of repetition, execution of task-oriented exercises, and combining top-do wn and bottom-up approaches can promote plasticity and functional recovery. (Source: PM and R)
Source: PM and R - September 1, 2018 Category: Rehabilitation Authors: Franco Molteni, Giulio Gasperini, Giovanni Cannaviello, Eleonora Guanziroli Tags: Innovations Influencing Physical Medicine and Rehabilitation Source Type: research

Getting the Best Out of Advanced Rehabilitation Technology for the Lower Limbs: Minding Motor Learning Principles
Advanced technology, including gait-training devices, is increasingly being integrated into neurorehabilitation. However, to use gait-training devices to their optimal potential, it is important that they are applied in accordance with motor learning and locomotor training principles. In this article, we outline the most important principles and explain how advanced gait-training devices are best used to improve therapy outcome. (Source: PM and R)
Source: PM and R - September 1, 2018 Category: Rehabilitation Authors: Martina Rebekka Spiess, Frans Steenbrink, Alberto Esquenazi Tags: Innovations Influencing Physical Medicine and Rehabilitation Source Type: research

Wearable Movement Sensors for Rehabilitation: A Focused Review of Technological and Clinical Advances
Recent technologic advancements have enabled the creation of portable, low-cost, and unobtrusive sensors with tremendous potential to alter the clinical practice of rehabilitation. The application of wearable sensors to track movement has emerged as a promising paradigm to enhance the care provided to patients with neurologic or musculoskeletal conditions. These sensors enable quantification of motor behavior across disparate patient populations and emerging research shows their potential for identifying motor biomarkers, differentiating between restitution and compensation motor recovery mechanisms, remote monitoring, tel...
Source: PM and R - September 1, 2018 Category: Rehabilitation Authors: Franchino Porciuncula, Anna Virginia Roto, Deepak Kumar, Irene Davis, Serge Roy, Conor J. Walsh, Louis N. Awad Tags: Innovations Influencing Physical Medicine and Rehabilitation Source Type: research

Motorized Biomechatronic Upper and Lower Limb Prostheses —Clinically Relevant Outcomes
People with major limb amputations are severely impaired when it comes to activity, body structure and function, as well as participation. Demographic statistics predict a dramatic increase of this population and additional challenges with their increasing age and higher levels of amputation. Prosthetic use has been shown to have a positive impact on mobility and depression, thereby affecting the quality of life. Biomechatronic prostheses are at the forefront of prosthetic development. Actively powered designs are now regularly used for upper limb prosthetic fittings, whereas for lower limbs the clinical use of actively po...
Source: PM and R - September 1, 2018 Category: Rehabilitation Authors: Knut Lechler, Bertrand Frossard, Lynsay Whelan, David Langlois, Roy M üller, Kristleifur Kristjansson Tags: Innovations Influencing Physical Medicine and Rehabilitation Source Type: research

New Treatment Approaches on the Horizon for Spastic Hemiparesis
This article presents 2 recent articles that propose novel interventions for treating spastic hemiparesis by changing biological infrastructure. In 18 patients with unilateral spastic arm paralysis due to chronic cerebral injury greater than 5 years ’ duration, Zheng et al transferred the C7 nerve from the nonparalyzed side to the side of the arm that was paralyzed. Over a follow-up period of 12 months, they found greater improvement in function and a reduction of spasticity compared to rehabilitation alone. (Source: PM and R)
Source: PM and R - September 1, 2018 Category: Rehabilitation Authors: Nathaniel H. Mayer Tags: Innovations Influencing Physical Medicine and Rehabilitation Source Type: research

A Review of Stem Cell Therapy for Acquired Brain Injuries and Neurodegenerative Central Nervous System Diseases
Cell-based therapies have been the subject of much discussion regarding their potential role in enhancing central nervous system function for a number of pathologic conditions. Much of the current research has been in preclinical trials, with clinical trials in the phase I or I/II stage. Nevertheless, there is considerable interest in the public about the potential regenerative role that stem cells may have in improving function for these neurologic conditions. This review will describe the different types of stem cells that are available, review their possible effects, and discuss some of the variables that investigators ...
Source: PM and R - September 1, 2018 Category: Rehabilitation Authors: Thomas K. Watanabe Tags: Innovations Influencing Physical Medicine and Rehabilitation Source Type: research

Robotic and Sensor Technology for Upper Limb Rehabilitation
Robotic and sensor-based neurologic rehabilitation for the upper limb is an established concept for motor learning and is recommended in many national guidelines. The complexity of the human hands and arms and the different activities of daily living are leading to an approach in which robotic and sensor-based devices are used in combination to fulfill the multiple requirements of this intervention. A multidisciplinary team of the Fondazione Don Carlo Gnocchi (FDG), an Italian nonprofit foundation, which spans across the entire Italian territory with 28 rehabilitation centers, developed a strategy for the implementation of...
Source: PM and R - September 1, 2018 Category: Rehabilitation Authors: Iris Jakob, Alexander Kollreider, Marco Germanotta, Filippo Benetti, Arianna Cruciani, Luca Padua, Irene Aprile Tags: Innovations Influencing Physical Medicine and Rehabilitation Source Type: research

The Transformation of the Rehabilitation Paradigm Across the Continuum of Care
As healthcare continues to evolve, there are changes in the delivery of care for patients with severe neurologic injuries. Although the acute hospital stay is shortening, physiatrists can play a key role in preparing patients for rehabilitation, minimizing longer-term complications and helping to determine the most appropriate paths for further treatment. Inpatient rehabilitation facilities (IRFs) continue to be an important part of the care continuum for patients with severe injuries, but the role of IRFs has also evolved as patients have been admitted with increasing medical and neurologic complexity and length of stay c...
Source: PM and R - September 1, 2018 Category: Rehabilitation Authors: Thomas K. Watanabe, Alberto Esquenazi, Steven Flanagan Tags: Innovations Influencing Physical Medicine and Rehabilitation Source Type: research

Innovations Influencing Physical Medicine and Rehabilitation
We are very pleased and honored to have been asked to serve as the guest editors of this special issue, “Innovations Influencing Physical Medicine and Rehabilitation,” and to be able to leverage its content with the theme of this year’s American Academy of Physical Medicine and Rehabilitation (AAPMR) annual assembly. This special issue is also significant as it is the last to be published under Dr Weinstein’s tutelage, who as editor-in-chief, has led PM&R with editorial excellence for the past decade. (Source: PM and R)
Source: PM and R - September 1, 2018 Category: Rehabilitation Authors: Ning Cao, Alberto Esquenazi Tags: Innovations Influencing Physical Medicine and Rehabilitation Source Type: research

Editorial Board
(Source: PM and R)
Source: PM and R - September 1, 2018 Category: Rehabilitation Source Type: research

Table of Contents
(Source: PM and R)
Source: PM and R - September 1, 2018 Category: Rehabilitation Source Type: research

Innovations Influencing Physical Medicine and Rehabilitation
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Source: PM and R - September 1, 2018 Category: Rehabilitation Source Type: research

Planners, Faculty & Others Involved in SAE Content
(Source: PM and R)
Source: PM and R - September 1, 2018 Category: Rehabilitation Source Type: research

Disclosure Page
(Source: PM and R)
Source: PM and R - September 1, 2018 Category: Rehabilitation Source Type: research

Quantification of Urinary Loss in Nulliparous Athletes During 1 Hour of Sports Training
Urinary incontinence (UI) is a pelvic floor dysfunction that can affect nulliparous female athletes because of the effect of sports activities on pelvic floor muscles. (Source: PM and R)
Source: PM and R - September 1, 2018 Category: Rehabilitation Authors: Keyla M. dos Santos, Thuane H. da Roza, Soraia C. Tonon da Luz, Julia P. Hort, Joyce M. Kruger, Bruna Schevchenco Tags: Original Research Source Type: research

Re: Aerobic Exercise Combined with Noninvasive Positive Pressure Ventilation Increases Serum Brain-Derived Neurotrophic Factor in Healthy Males by Kawazu et  al
We are writing in regard to an article published on May 18, 2016, by T. Kawazu et  al titled “Aerobic Exercise Combined with Noninvasive Positive Pressure Ventilation Increases Serum Brain-Derived Neurotrophic Factor in Healthy Males.” (Source: PM and R)
Source: PM and R - September 1, 2018 Category: Rehabilitation Authors: L. Brian Barnett, Joe E. Springer, Robert M. Worthing Tags: Letter to the Editor Source Type: research

Reply
We thank Barnett and colleagues for their interest in our study. In their letter to the Editor, they asked for clarification on a number of points. The points are as follows: (1) clarify the inclusion/exclusion criteria, the manner in which subjects were randomized, and if allocation concealment or blinding of any party occurred; (2) clarify the process in determining the intensity level and duration of exercise; (3) clarify the basis by which the authors settled on a 3-week washout period, and if there is evidence to support their claim that the time period was sufficient; (4) provide the data used in their calculations &...
Source: PM and R - September 1, 2018 Category: Rehabilitation Authors: Takeshi Nakamura Tags: Letter to the Editor Source Type: research

A Checklist for Analyzing Data
Understandably, when researchers get data, they are eager to learn what the data have to say regarding the main study hypotheses. This excitement, combined with looming deadlines, can result in researchers skipping the most important steps of a data analysis. For example, researchers might rush to run formal statistical tests that compare their groups before they have properly cleaned and vetted their data. In a proper data analysis, the bulk of an analyst ’s time is not spent on running final statistical models, but rather on tasks such as cleaning, checking, understanding, and plotting the data. (Source: PM and R)
Source: PM and R - September 1, 2018 Category: Rehabilitation Authors: Kristin L. Sainani Tags: Statistically Speaking Source Type: research

Editorial Board
(Source: PM and R)
Source: PM and R - September 1, 2018 Category: Rehabilitation Source Type: research

Table of Contents
(Source: PM and R)
Source: PM and R - September 1, 2018 Category: Rehabilitation Source Type: research

Academy News – September PM & R
As the primary medical society for the specialty of PM&R, your Academy is focused on moving the specialty and you forward. Our mission is to lead the advancement of physiatry ’s impact throughout health care. Your Academy will ensure that: (Source: PM and R)
Source: PM and R - September 1, 2018 Category: Rehabilitation Tags: Departments Source Type: research

Information for Authors
(Source: PM and R)
Source: PM and R - September 1, 2018 Category: Rehabilitation Source Type: research

Copyright Page
(Source: PM and R)
Source: PM and R - September 1, 2018 Category: Rehabilitation Source Type: research

Spanish Translated Abstracts
(Source: PM and R)
Source: PM and R - September 1, 2018 Category: Rehabilitation Tags: Translated Abstracts Source Type: research

Quantification of urinary loss in nulliparous athletes during 1-hour of sports training
urinary incontinence (UI) is a pelvic floor dysfunction that can affect nulliparous female athletes due to the effect of sports modalities on the pelvic floor muscles (PFM). (Source: PM and R)
Source: PM and R - September 1, 2018 Category: Rehabilitation Authors: Keyla M. dos Santos, Thuane H. da Roza, Soraia C. Tonon da Luz, Julia P. Hort, Joyce M. Kruger, Bruna Schevchenco Source Type: research

Ultrasonographic Evaluation for the Effect of Extracorporeal Shock Wave Therapy on Gastrocnemius Muscle Spasticity in Patients with Chronic Stroke
Extracorporeal shock wave therapy (ESWT) has been suggested as a useful treatment for spasticity in patients with stroke. To data, most studies used clinical or biomechanical assessments to determine the effects of treatment. (Source: PM and R)
Source: PM and R - August 23, 2018 Category: Rehabilitation Authors: Chang Han Lee, Seung Hun Lee, Jun-Il Yoo, Shi-Uk Lee Source Type: research

Profiling the isokinetic muscle strength of athletes involved in sports characterized by constantly varied functional movements performed at high intensity: a cross-sectional study
Constantly varied functional movements performed at high intensity (FMHI) is a type of strength and general conditioning program that has gained widespread popularity in recent years. The very intense exercises performed with lower and upper limbs may create muscular asymmetry or imbalance between agonist and antagonist muscles, and therefore the characterization of isokinetic muscle strength, side-to-side difference and balance ratios for lower and upper limbs may contribute to a better understanding of the modality characteristics. (Source: PM and R)
Source: PM and R - August 23, 2018 Category: Rehabilitation Authors: Caroline Motta, Claudio A.B. de Lira, Valentine Z. Vargas, Rodrigo L. Vancini, Marilia S. Andrade Source Type: research

Impact of Neck Position on the Probability of Common Carotid Artery Puncture During Ultrasound-Guided Stellate Ganglion Block
The carotid artery must be avoided during stellate ganglion block. However, information on optimal neck position during the ultrasound-guided approach is limited. (Source: PM and R)
Source: PM and R - August 20, 2018 Category: Rehabilitation Authors: Dong Yoon Park, Seok Kang, Hyo Jung Kang, Jun Kyu Choi, Jae Do Kim, Joon Shik Yoon Tags: Original Research Source Type: research

A review of botulinum toxin A for the treatment of neurogenic bladder
Prior to FDA approval of intradetrusor botulinum toxin (BoTA) injections for the treatment of neurogenic bladder, patients had limited treatment options including ‘off-label’ use of pharmacotherapies (anti-cholinergics, beta agonists, and alpha-blockers) or invasive interventions including bladder augmentation and urinary diversion procedures. Herein, we provide a comprehensive, literature review detailing the salient clinical literature which led to FDA approval of intradetrusor BoTA for neurogenic bladder, Patients with neurogenic detrusor overactivity and detrusor sphincter dyssynergia have been shown in ran...
Source: PM and R - August 20, 2018 Category: Rehabilitation Authors: Lauren Folgosa Cooley, Stephanie Kielb Source Type: research

Impact of neck position on the probability of common carotid artery puncture during ultrasound guided stellate ganglion block
The carotid artery must be avoided during stellate ganglion block. However, the information on optimal neck position during the ultrasound guided approach is limited. (Source: PM and R)
Source: PM and R - August 20, 2018 Category: Rehabilitation Authors: Dong Yoon Park, Seok Kang, Hyo Jung Kang, Jun Kyu Choi, Jae Do Kim, Joon Shik Yoon Source Type: research

A single trial may be used for measuring muscle strength with dynamometers in individuals with stroke: A cross-sectional study
The mean of three trials is commonly employed to report measures of muscle strength after a stroke. However, only a single trial showed to provide consistent and reliable results regarding dynamometric measures of grip, pinch, and trunk strength in individuals with stroke. Nevertheless, there were not found any studies that investigated whether only a single trial could also be used for the assessment of strength of the upper and lower-limb muscles. (Source: PM and R)
Source: PM and R - August 20, 2018 Category: Rehabilitation Authors: Larissa Tavares Aguiar, J úlia Caetano Martins, Ludmylla Ferreira Quintino, Sherindan Ayessa Ferreira de Brito, Luci Fuscaldi Teixeira-Salmela, Christina Danielli Coelho de Morais Faria Source Type: research

Virtual Reality for Neurorehabilitation: Insights From 3  European Clinics
Virtual reality for the treatment of motor impairment is a burgeoning application of digital technology in neurorehabilitation. Virtual reality systems pose an opportunity for health care providers to augment the dose of task-oriented exercises delivered both in the clinic, and via telerehabilitation models in the home. The technology is almost exclusively applied as an adjunct to traditional approaches and is typically characterized by the use of gamified exergames which feature task-oriented physiotherapy exercises. (Source: PM and R)
Source: PM and R - August 16, 2018 Category: Rehabilitation Authors: Owen O ’Neil, Manuel Maurie Fernandez, Jürgen Herzog, Marta Beorchia, Valerio Gower, Furio Gramatica, Klaus Starrost, Lorenz Kiwull Tags: Review Article Source Type: research

Virtual Reality for Neurorehabilitation: Insights from Three European Clinics
Virtual reality for the treatment of motor impairment is a burgeoning application of digital technology in neurorehabilitation. Virtual reality systems pose an opportunity for healthcare providers to augment the dose of task orientated exercises delivered both in the clinic, and via telerehabilitation models in the home. The technology is almost exclusively applied as an adjunct to traditional approaches and is typically characterised by the use of gamified exergames which feature task orientated physiotherapy exercises. (Source: PM and R)
Source: PM and R - August 16, 2018 Category: Rehabilitation Authors: Owen O ’Neil, Manuel Maurie Fernandez, Jürgen Herzog, Marta Beorchia, Valerio Gower, Furio Gramatica, Klaus Starrost, Lorenz Kiwull Source Type: research

Measurement of Cervical Multifidus and Longus Colli Muscle Dimensions in Patients With Cervical Radiculopathy and Healthy Controls Using Ultrasonography: A Reliability Study
Cervical radiculopathy is a musculoskeletal disorder with an increasing prevalence in office workers. In recent years, ultrasonography (US) has been reported to be a valid, inexpensive, and noninvasive technique for the objective evaluation of muscle morphology. However, measuring deep cervical paraspinal muscle dimensions using US in patients with cervical radiculopathy has not been described. (Source: PM and R)
Source: PM and R - August 3, 2018 Category: Rehabilitation Authors: S. Amiri-Arimi, M.A. Mohseni Bandpei, A. Rezasoltani, K. Javanshir, A. Biglarian Tags: Original Research Source Type: research

Measurement of cervical multifidus and longus colli muscles dimensions in patients with cervical radiculopathy and healthy controls using ultrasonography: A reliability study
Cervical radiculopathy is an increasing musculoskeletal disorder, with high prevalence in the office workers. In recent years, ultrasonography (US) is reported to be a valid, non-expensive and non-invasive technique for the objective evaluation of the morphology of muscles. However, measuring deep cervical paraspinal muscle dimensions using US in patients with cervical radiculopathy has not yet been demonstrated. (Source: PM and R)
Source: PM and R - August 3, 2018 Category: Rehabilitation Authors: S. Amiri-Arimi, M.A. Mohseni Bandpei, A. Rezasoltani, K. Javanshir, A. Biglarian Source Type: research

Morbidity and Mortality Rounds in Rehabilitation —Benefits for Enhancing Quality Beyond Just the “M & M ”
Morbidity and Mortality Rounds (MMRs) have long been employed in acute care hospitals to review and learn from medical errors, particularly those that resulted in significant patient harm [1-3]. With the ever-increasing focus on patient safety in health care, MMRs have been adopted across many specialties as a forum for critical incident review using a systems-based approach to identify root causes of quality and safety gaps, and improve future care delivery [4-6]. However, the literature contains only 2 reports of MMRs introduced into rehabilitation settings [7,8]. (Source: PM and R)
Source: PM and R - August 1, 2018 Category: Rehabilitation Authors: Alexander Lo Tags: Practice Management Source Type: research

Editorial Board
(Source: PM and R)
Source: PM and R - August 1, 2018 Category: Rehabilitation Source Type: research

Table of Contents
(Source: PM and R)
Source: PM and R - August 1, 2018 Category: Rehabilitation Source Type: research

Academy News – August PM & R
As the primary medical society for the specialty of PM&R, your Academy is focused on moving the specialty and you forward. Our mission is to lead the advancement of physiatry ’s impact throughout health care. Your Academy will ensure that: (Source: PM and R)
Source: PM and R - August 1, 2018 Category: Rehabilitation Tags: Departments Source Type: research

Information for Authors
(Source: PM and R)
Source: PM and R - August 1, 2018 Category: Rehabilitation Source Type: research

Copyright Page
(Source: PM and R)
Source: PM and R - August 1, 2018 Category: Rehabilitation Source Type: research

Spanish Translated Abstracts
(Source: PM and R)
Source: PM and R - August 1, 2018 Category: Rehabilitation Tags: Translated Abstracts Source Type: research

Acute Spinal Epidural Hematoma as a Complication of Dry Needling: A Case Report
Dry needling is a procedure commonly performed for the relief of myofascial pain disorders. The procedure is generally well tolerated. Adverse events often are mild, but severe complications have been reported. This case report describes an acute spinal epidural hematoma as a complication of dry needling. It is a reminder to the performing physician or therapist to take specific precautions when placing a needle near the spine. Sudden onset of neuropathic pain post-needling therapy in and around the spine should prompt emergent assessment with possibly advanced spine imaging to evaluate the integrity of the spinal cord. (Source: PM and R)
Source: PM and R - July 20, 2018 Category: Rehabilitation Authors: William A. Berrigan, Curtis Whitehair, Richard Zorowitz Source Type: research